Organization Active NPI

Sociedad Mayaguez Surgical

  • Specialist
  • Mayaguez, PR
National Provider Identifier
1144438649
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5286 Issued in PR
Legal business name
SOCIEDAD MAYAGUEZ SURGICAL
Practice address
Calle Mendez Vigo 109 E
Mayaguez, PR 00680
Phone
(787) 834-7740
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Juan E Suris, M D
Title
Specialist
Phone
(787) 834-7740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5286 PR Primary

Addresses

Primary practice location

Calle Mendez Vigo 109 E
Mayaguez, PR 00680

Mailing address

Calle Mendez Vigo 109 E
Mayaguez, PR 00680
Phone (787) 834-7740

National Provider Directory

National Provider Directory

Locations

109 Calle Mendez Vigo E
Mayaguez, PR 00680
Phone (787) 265-6567

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1144438649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO 109 E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MENDEZ VIGO 109 E",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIEDAD MAYAGUEZ SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "SURIS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPECIALIST",
        "authorized_official_telephone_number": "787-834-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.